Published on March 13, 2014
Delivering Integrated Housing, Care and Support Kevin Beirne Group Director of Housing Care & Support
• FT Partnership Agreement • Care Support Plus Model • Clinical inputs • Joint service protocols • Alternative to admission • Shared governance/risk • Redesign care pathways • Leveraging NHS estate Strategic Integration
Intensive Supported Housing • 15 new builds £60m investment • Self contained units & communal • Beautiful places • Specific design is key • Expert staff team • Person focussed offer
Intensity of Support Recovery Blocked Placements Relapse Blocked placements delay the transfer of service users from high intensity services. Relapse increases the need for high intensity services High Risk x Care Support service providers unwilling or unable to take on high risk service users Place in the Recovery Pathway
Pathway Population • Out of area placements • Full range of complex needs • Long term placements • 14 month stay • Overall saving of £0.5 million per annum • 100% improved management of mental health
Care Support Plus - Early Wins
Acute Services • CCG commissioned • 500 customers pa • Alternative to acute • Average stay of 14 days • Night centre and line • Person focused • 60% savings on acute admission
Upshot 500 people per year (average 2 week stay) 80% health referrals 50% are new 87% avoid acute 15% reduction rate
Governance Care Support Plus Customer Scrutiny Internal Scrutiny External Scrutiny Governance Triangle
• NHS Trusts & FT’s • Joint Venture approach • NHS Surplus land • RSL Equity - upfront • No planning • Optimise potential NHS-RSL Partnering
Our NHS • Leverage change • Community sensitivity • Secure health uses • Social value • Need to transform business • NHS campus model • Housing based supply chain
Golden Threads • Understanding NHS & working hand in hand • Confidence in outcomes & soft cultural change • Recovery, aspiration and integration
£40m of social investment in 2013 1,000 care & support units in next corporate plan Shared not-for-profit values
The Way Forward • Build on Care Support Plus • Investment in integrated health & housing • Redesign of pathway’s • £1bn billion efficiency for NHS • Transform recovery • Aspiration & parity of esteem
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